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Individual

MAISA ALVES PEBBLES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
9855 HOSPITAL DR STE 102A, MAPLE GROVE, MN 55369-4648
(763) 581-9220
(763) 581-9221
Mailing address
3300 OAKDALE AVE N, ROBBINSDALE, MN 55422-2926

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
575
MN

Other

Enumeration date
03/14/2006
Last updated
01/10/2025
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